Board Review Course 2024: Environmental Health (Slides)-Environmental Health (Recording)

Video Transcription

Video Summary

Dr. Ken Spaeth, Chief of Occupational and Environmental Medicine at Northwell Health, provides an extensive board review on environmental health, highlighting key areas relevant for exam preparation. Emphasis is placed on understanding how to conduct an environmental history, delineating the roles of federal agencies like the ATSDR and EPA, and recognizing significant legislation such as the Toxic Substances Control Act (TSCA) and the Superfund Amendments and Reauthorization Act (SARA).<br /><br />Dr. Spaeth discusses specific environmental hazards, including lead, mercury, and arsenic, outlining their sources, effects, and regulatory measures. Lead exposure, particularly from old paint, remains a public health concern, with screening levels monitored variably across states. Mercury exposure, primarily through fish, involves considerations for different mercury forms, while arsenic exposure from dietary sources and contaminated water highlights the importance of fractionated urine tests for accurate assessment.<br /><br />The review also covers pesticides, their regulation by the EPA, and the toxicological implications of both active and inert ingredients. Pesticide exposure, prevalent through various channels, necessitates understanding clinical treatments for conditions like cholinesterase inhibitor poisoning.<br /><br />Emerging issues such as climate change, air pollution, and noise pollution are discussed, illustrating their growing impact on public health. Additionally, travel medicine, focusing on vaccine requirements and altitude sickness, is examined.<br /><br />The course concludes with strategies for disaster preparedness and response, stressing the importance of needs assessments and appropriate decontamination procedures. Dr. Spaeth provides insight into handling biological, chemical, and radiological threats, including key interventions and supportive treatments. Overall, the lecture aims to equip students with a comprehensive understanding of environmental health challenges and the necessary tools for effective public health practice.

Keywords

Environmental Health

Occupational Medicine

Environmental History

Federal Agencies

ATSDR

EPA

Toxic Substances Control Act

Superfund Amendments

Environmental Hazards

Pesticide Regulation

Climate Change

Disaster Preparedness

Public Health Practice